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General NPI Number Information
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NPI Number | 1023282431
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Entity Type | Organization
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Legal Business Name | GALLAHERS HOUSE OF HEARING AIDS, INC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 5010 HAMPTON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3111
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Country | US
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Telephone | 314-352-7402
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Fax | 314-352-2520
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Provider Business Mailing Address
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Address Line | 5010 HAMPTON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3111
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Country | US
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Telephone | 314-352-7402
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Fax | 314-352-2520
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES WILBUR GALLAHER
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Credential | BC-HIS
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Telephone | 314-352-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 000202
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License Number State | MO
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